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HomeMy WebLinkAboutSUBMITTED PAPERSST. LUCIE COUNTY APPLICATION for BUILDING PERMIT BP #: 6d�40O8� i OFFICE USE ONLY SECTION: */ O� TOWNSHIP: 2 RANGE: �// MAP NO.: ZONING: LAND USE: LOT CVG %: TAZ NO.:. FLOOD ZONE: " FIRM MAP #: 3 �� �-� 1 ST FLR ELV: MAX HGT: , CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER:. SEWER: SPRINKLERS STORMWATE _ R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) TLOT SPLIT LOT SPLIT REQ'D APPRV'D DECAL D- LIBRARY PARKS •PE MIT NUMBER IMPACT FEE _ -' — IMPACT. FEE"' _ F ' REPORT PUBLIC BLDG -. ..;HABITABALrs,�, DON"FE w ; -' �•_• CODE -IMPACT FEE'.; 'A A _ . (RADON) , (J +' N ROAD • - y .G OST SROAD ;` -CREDIT "TOTAL ROAD - ' IMPACTXZE - '.i I . CFEE - IMPAC7E= FE _ - D ... ... Y IN - - SCHOOL "-" _ R DI - IMPACT FEE - rN - POLICE FEET FIRE FEE, M FEES: , 4U- IRE/ ES ADDITIONAL S IF _ LL PERMITS REQ'D - '.- ' REVIEWS . ZONIN ZONING PLANS VEGETATION SEA TURTLE MANGROVE REVIEWED -BY ._'EXAMINING . COMPLETE •�- .'L'2�/vv INITIALS %, r DATE FILED: PLAN REVIEW FEE: y0 RECEIPT NO.: 031061 . PERMIT NIUBER: CONCURRENCY FEE: 5 RECEIPT NO.: -rcERT CAP NO.: 7Tl-e J�1s ��ay ST. LUCIE COUNTY DEPARTMENT O U V COMMUNITY DEVELOPMENT UE SCANNED �Op10Q FORT PIERCE, FL 34982-5652 BY 581.462-1553 St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE a3elaAR a IN;1:0PJ_V I [•1,- 1. LOCATION/SITE ADDRESS: 2111 •��Me5 ku. 2. S/D NAME: Oe-MeS SITE PLAN NAME: 3. PROPERTY TAX ID#: TSOZ-501—�j��y4—CX�O�� 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 1�s1 BOOK \6 NO. ,, ['{�—�� NO. - NO. ���—� _ 1 ,, .,t., I l G 9. PARCEL SIZE: ACRES/SQ FT. " N LOT DIMENSIONS 7j X 10. DESCRIPTION OF CONSTRUCTION PROJECT7ORWKACTIVITY: 11. SETBACKS (ACTUAL) FRONT: 5 BACK: 4S 12- TYPE OF CONSTRUCTION (Check all appropriate boxes) - [e]/NEW CONSTRUCTION [ ] EXPANSION/ADDITION [,�KRESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) RIGHT LEFT t SIDE SIDE: [ ] INTERIOR RENOVATION. [ ] INDUSTRIAL 4 13. DESCRIPTION OF PROPOSED USE: �Sr r'4p- 1� 7 14. Sq. Ft./CONSTRUCTION: 4cc) 15. Sq. Ft. 1st Floor: b � +o4% ,Z767 16. VALUE OF CONSTRUCTION: $ 1 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the f indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 I` or more, a RECORDED Notice of Commencement must be submitted with this application. '. ST. LUCIE COUNTY APPLICATION for BUILDING PERMIT i SLCCDV Form No.: 001-02 ST. LUCIE COUNTY /J APPLICATION for BUILDING PERMIT����`q""/,�i OWNER INFORMATION: AJ NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: UA ZIP J IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. / FEE SIMPLE TITLEHOLDER: ADDRESS CITY: STATE: ZIP PHONE (DAYTIME): ( 1 CONTRACTOR INFORMATION ST. of FL REGJCERT #: BUSINESS NAME: m o `%9ico -C..c t /'� qe�m"?( Lcz� 1/'� ST. LUCIE COUNTY CERT #: QUALIFIERS NAME: �� •'�/•� ADDRESS: y 81S cceA—�' 98 CITY: rfMQe STATE: ZIP PHONE (DAYTIME): i 1 Di0 -//bU+ / ARCHIT/ENGINEER: �VL E ADDRESS: S• UW CITY: PHONE (DAYTIME): oC l ••`,g•� _ ((, 1 1 STATE: ZIP BONDING COMPANY: ADDRESS: CITY: STATE: ZIP MORTGAGE LENDER:T �NO ADDRESS: CITY: STATE: ZIP ST. LUCIE COUNTY APPLICATION.for BUILDING PERMIT CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit, and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOTYOUR RIGHT. TITLE AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: [951V I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. SIGNATURE Sworn t and subscribed before me this, r day ofc�, A b)�DIA, who" is personally known time or as identification. �► 1��. l 1I'MI Type or Print Name of Notary Notary Public Title ssion Number 'Y"" � •., ID•ANN N.37ALEY (seal) I''CDMhiISSIDNAr,C798947 >�,ysrS cYPIAE3: Mach 6, 2093 1/f,'� Bena�onvc Newry FuoL'c Untlarvmtgro The foregoing instrument was acknowledged before me this IM day of Cr��, 49200D by a(A. , who is p_mammfiT� tie or w as identification. ignature of Notary Type of Print Name of Notary ier NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTAR17M. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT . BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the (company/individual name) following sub -contractors for the project located at qs(:)Z�RDI— 0 4—�d,3 (street address or property tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Community Development Department (Growth Management Division) of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ state of Florida License Number Plumbing 37 Electrical �— //� V 1�� IQve'o l�-z HVACIMechanical , sFs Roofing Gas nFFMP HRF nNLv. SLCCOV FORM NO.: 003-00 PERMIT NUMBER: ISSUE DATE: St Lucie County/ Trade Name of Company/Contractor State of Florida License Number ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BU=ING PERHff SUBCONTRACTOR AGREEMEtdT St. Lucie County 00,4ti =or Cerdficftri Number. State of Florida Certira2tion Number (N apmmsbw): J -V-1 oQ�a -S 5:�1 •►RIY�rRNM�1�R V r�rRN1►RMR WNkzTi✓r has agreed to be (ceMp.Mr�dmd�ar �.my the Vu16I'C' sub-cordractor for �' ``►�� ����; t1rPa of eanttruebon traday (rMma of tM prim. oo for the project located at SJ�—bk k It is understood that, (meal ad**" or property fax m i) if there is any change of status regarding our.• participation with the above mentioned project, I will immediately advise the Community Development Department (Growth Management Division) of SL Lucie -County by personally filing a Change of Contractor Form (SLCCbv FORM NO. ooa-oo). al alpnma.e raquBedy: Prim name clew ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): 21Dy2r,21 4-, C) the (type of construction trade) Sy2 E2no/LIVIS has agreed to be name) sub -contractor for (name of the prime contractor) for the project located at 45bz.— \zV1—��14—O�(�0��. It is understood that, (street address or property tax ID #) if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Community Development Department (Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). BUSINESS QUALIFIER (original signatures required): T �9 rDJP,u o 5 3f�� si ure Vdnt name date business name: address: city,state,zip: phone: r5'JiY/7Yni3'A W1, SLCCDV FORM NO.: 002-00 PERMIT # ISSUE DATE I ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMFN,r BUILDING PERMIT SUH-CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. a?3I7 state of Florida Certification Number (u apprioblE)! • y.....ww�www�tkw...w.k....�`fM`twittiitavf*f�rffRxww+**/+.`f��iiii�w+v.Msawwwww.. . for the project located at 4JOZ MOf3 • It is understood that, (street address or property tax ID #) if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Community Development Department (Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). ww++uuaaaw..wwm�MkkkttfftfifBf�nf+���..u...s.+.weeeAFs1++"+w��«�*� BUSINESS QUALIFIER (original signatures required); e Ss1 OQ signature print name date business name: address. city,state,zip: phone: SLCCDV FORM No.: 002.00 FERMrr # ' I ISSUE DATE ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: QA� 1 z State of Florida Certification Number (If applicable): C t7: Ce?Ce \HHHHHffftf f1Hf \\}HHHf k}HMH}N}NHH\H\HHH}f}\\fff}1\H}NH}HH}}f (ZQ(Y11�6— (NSI has agreed to be (company/individual name) j�� _ thesub-contractor for (type of construction trade) (name of the prime contractor) for the project located at 4jC9,— i—oD 11 — . If is understood that, (street address or property tax ID #) if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Community Development Department (Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). ffff}}ffffllffffifff}fffffHfiflfflHff}fff}lfffffHHf}ffffffff}}!f}f}}fiff}}iffffH ' BUSINESS QUALIFIER (original signatures required): �-ZA3 G1_,f1.=.t j1 KID IDS print name date address: city,state,zip: .phone: SLCCDV FORM NO.: 002-00 PERMIT # I I ISSUE DATE ` ST. LUCIE COUNTY (� DEPARTMENT OF COMMUNITY DEVELOPMENT 2300 VIRGINIA AVENUE FORT PIERCE, FL 34962-5652 561462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the property, (tax ID/legal description/address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number c>IM60090 . I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. MPtyAELJ GiPLGL� %lloclisr�(/ �> d�� 15- 1-7, 2 Property Owner Property Owner JV Date (Print) (Signature) STATE OF FLORIDA, COUNTY O SWORN ,TO AN SUBSCRIBED(�BEFORE ME THIS \� DAY tF\N , 1911 BY P'y.1Q�L�2 01� WHO IS ERSONALLO M R WHO HAS PRODUCED ^ AS IDENTIFICATION. SIGNATURE OF NOTARY NOTARY PUBLIC TITLE (seal) Dianne F. Grella MY COMMISSION # CC767258 EXPIRES December 14, 2002 BONDED THRU TROY FAIN INSURANCE, INC SLCCDV FORM NO.: 011-00 St. Lucie County Property Record Card ' • Page 1 of 2 St. Lucie County Property Appraiser Geographic Information Services Real Property Record for Parcel Number: 450250101140003 Record Number: 1 of 1 Location: 2111 NETTLES BV CTY ### Section: 02 Township: 37S Range: 41E Show Location Map Owner, Legal Description, Deed & Total Assessment Name: GRELLA, MICHAEL J Legal: NETTI, S ISLAND INC, Name: GRELLA, LORETTA CONDO -SECTION I PARCEL 111H AND Address: PO BOX 231-0231 PRO-RATA SHARE IN COMMON JENSEN BEACH, FL 34958-0000 ELEMENTS (OR 659-2957) Book: 0 59 Page: 2957 ale Date: 19891020 Sale Amt: 4000 Sal FT: 109.89/SgFt. Insp. Date: By: Date Valued: Permits: 015538 Exempt.: 0 Land:38000 Improve.:4470 Iass:0 Total: 2470 Taxable:42 70 etehbor ood & use Imp. ¢ 1VIII Class: TRV Stories: l o. 1977 Eff:Year 1981 Built: Baths: 0 B¢drmS: 0 Pooi: N Fplc: N El Living rea: SgFt. Under Roof: 3 SgFt. Building Perimeter S tch and Photograph a' Improvements Improvements / Extra Features No. rea Act FCTR YR ®Rate Val No. od Cat Size]YR ® Rate Value 0 H&A 01977 F. 1-5-1 F. 9 T-I F 1-101 0 TRV ��� 0.3 31.5 3450 CABANA 288 1977 0.15 21.0 91 Cost Calculation this Record ht4)://10.1.28.101/webmap/scripts/prc.pl?l 1284181,450250101140003 6/9/00 aoo(O��D ' INSPECTION CHECX,LIST 1. underground Plumbing and Installations a. Compare fixture location and number with plan b. Check for water in waste lines C. Check. for proper venting and drain fittings d. Check for insulation and ground cover of copper (including a/c lines) 2 , e. Check for slope of waste lines and support f. Check for sanitary facilities g. Check for schedule 40 pipe and pipe sizing 2. Foundation Check a. Width, depth and location of footings b. Number, size and location of steel (including dowels) and/or lag bolts c. Check Enfer ground `b d. Termite Treatment e. Moisture Barrier f. Any structural pads to plans vv g. Check all forms for location and size 3. Mechanical Rough a. suction line fully insulated b. Seal chase pipe C. Condensate drain slope d. Flex duct supported per manufacturers spec. l r / e. Check breaker size of A/H and condenser f. Bathroom ventilation ! g. Kitchen ventilator h. Dryer vent and/or gas vent, 4. Electrical Rough a. Insure cover for underground wire b. Check capacity and location of main and subpanels C. Check boxes for size, application and location Pe 9( plan d. Check for proper support of wires eI - Check smoke detector location and wiring f. Check circuit sizing and cover area g. Check for egress lighting and switch legs S. Plumbing Rough Top Out a• Check fixture number and location per plan b• Check for nail plate installation Where requi od c• Check pressure test on supply lines i �� d. Check pressure test on gas lines e. Check for main vent and all terminals f• Check show��� out Pans and tab waste &UO supports g- Check for proper locations of hot and cold lines Plus strapping h• Check water and drain lines for compliance to required material 6- Structural Rough a• Check steel side and location with plans b• Check size of beams and columns C. Check location of load bearing walls with plans d• Check strapping for size and location e• Check roof trusses for type, certification and windload —! f• Check all wooden members for size, location, railing, connectors, condition and lumber grade �j�• g• Spot check sheeting nail down h• Check for egress (bedrooms &•attic) X. Check joist size and location plus flooring j• Check size and grade on plywood roof and wall sheathing k. Make sure gable ends are braced and rat runs installed 1- Check door size handicap/bathroom m. Check treated lumber where applicable 7- Final a. Check for address b. Check landscaping C. Check siding and roofing for application d• Check for panel box labels e• Test GFI circuits (� f• Test water, bath fixtures and kitchen sink l/V�� functions i g• Check for outside water shut off h. Check for tempered glass where required 1l` / i• Check handrails for code compliance (1ln/ j• Check drainage run off for property k• Check recepticles 1• Check disconnect of electric on equipment ewc 12-30-96 /i2�/�.-zGP/I C�J����'Z' �iY�� �jl�. G '1 �,. l73� s � 3tiG�� �%� /���x�� l=� 3�s�y o ��� ���7� ���-� �� �� � ��� �� r TG �� aob"}o IIS ST. LUCK COUNTY DEPARTMENT OF COM;MUN:TY DEPELOPMEN7 BUILDING PERMrT SUB-CON"MACTOR AGRE©►IENT SL Lucie County Ccm Momr Cerlifica¢ion Number. State of Florida Certification Number ry appbmwl: ..... ,O-A .3e✓J1ces 00MPUWkdftWWW fW") has agreed to be the ec' I ra-4 sub -contractor for "a so rouaom us") (n n of for the project located at , it is understood that, tmr names at propo w an D I) If there is any Change of status regarding our participation with the above mentioned Project. 1 will immediately advise the Community Development Department (Growth Management Division) of SL Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. tioaool, BUSINESS QUALIFIER tageW .knmw mwmao: 'M business rum: 7-'�L G address: W71 5 atey phorbp: P�sT_ L ptLorte: 14d Its J - U1Djct�c prim name Ser✓ 0 s z� CLCCdV FOF*A NW 062OD, maw 0 1 1 r suE oALTE A\v '- s JOANNE HOLMAN, CLERK OF THE CIRCUIT.COURT - SAINT LUCIE COUNTY rf'A File Number: 1819916 OR BOOK 1310 PAGE 1983 :T Recorded:06/29/00 08:06 Ih,,�UcrF c0u'�'_s Permit No.: t:�:' Sib k 07) ?b Tax Folio No.: 4502-501-011-40003 NOTICE OF COMMENCEMENT STATE OF FLORIDA SS: COUNTY OF ST. LUCIE THE UNDERSIGNED, hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property (legal description and street address if available): SEE ATTACHED RIDER itt NETTLES BLVD. JENSEN BEACH, FLORIDA 34957 2. General description of improvements: A SINGLE FAMILY DWELLING. 3. Owner information: a. Name and Address: MICHAEL J. GRELLA AND LORETTA GRELLA 2080 NETTLES BLVD. JENSEN BEACH, FL, 34957 b. Interest in Property: FEE SIMPLE c. Name and address of fee simple title holder (if other than owner): 4. Contractor (Name and Address): PREMIER CONSTRUCTION & REMODELING, INC. 1735 SW BILTMORE STREET PORT ST. LUCIE, FL, 34984 5. Surety a. Name and Address b. Amount of Bond: $ 6. Lender (Name and Address): FIRST UNION MORTGAGE CORPORATION RESIDENTIAL CONSTRUCTION LENDING 130 NORTH RIDGEWOOD AVENUE DAYTONA BEACH, FLORIDA 32114 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713113(1)(a)7, Florida Statutes (Name and Address): Name: Address: Phone Number: Fax Number: 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): Owner MICHAEL J. GRELLA OwnerLORETTA GRELLA The following instrument was acknowledged before me this DUNE 28, 2000 by MICHAEL J. GRELLA AND LORETTA GRELLA who is personally own to me or who has produced as identification and who did /yr.T' take an oath. C. NORRIS TILTON No ry Public Notary Public, State of Florida My Commission Expires: Comme-n*os No -CC 10881 Rm 03/inns UPS 682 My Comm. Exp. 01.18.2004 OR BOOK 1310 PAGE 1984 RIDER -LEGAL DESCRIPTION Lot No. 111, Section I, OUTDOOR RESORTS OF AMERICA AT NETTLES ISLAND, according to the map or plat thereof as recorded in Plat Book 16, Pages 1,1A through 1J, Public Records of St. Lucie County, Florida. TOGETHER with all the tenements, herediments and appurtenances there to belonging or anywise appertaining, subject to the terms, conditions, and limitations as set forth in the Declaration of Condominium as recorded in O.R. Book 186, Page 2720, Public Records of St. Lucie County, Florida, and any amendments thereto. 31"ATEOFFLORMA W.LUCIE000tITY fHfS IS TO 0LR? IFY 7HfiT TH IS IS A rr?uf nr:;, co �uPJs'iJ 1 �� 7i